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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TERRY ROTH

Active

TERRY ROTH is a Neurology healthcare provider located in ROCKFORD, Illinois. NPI 1215919816 is currently active in the NPPES registry. Verify at CMS.

Neurology · ROCKFORD, IL

Registration Details

NPI Number
1215919816
Provider Type
Individual
Gender
Male
NPI Issued
Nov 18, 2005 (20.747748326657 yrs)
Last Updated
May 22, 2008
License
36059503 (IL)

Practice Information

Address
4920 EAST STATE ST
ROCKFORD, IL, 61108
Browse IL providers · Browse ZIP 61108
Phone
8152261906
Fax
8152268474
Primary Specialty
Neurology
2084N0400X

Other Neurology Providers in ROCKFORD, IL

Name Credential NPI
MADHAV K SRIVASTAVA MD 1770565905
REGINA B BIELKUS MD 1548243819
DR. MOHAMMED S AFZAL M.D. 1891767224
DR. MOHSIN KHAN MD 1174636013
FAISAL MAJID RAJA MD 1275644254
PREETI A DEVNANI MD 1811162712
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.